Provider Demographics
NPI:1851341473
Name:THOMAS, VALORIE KAY (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:VALORIE
Middle Name:KAY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:VALORIE
Other - Middle Name:KAY
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PNP
Mailing Address - Street 1:1403 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-9501
Mailing Address - Country:US
Mailing Address - Phone:816-322-9862
Mailing Address - Fax:816-855-1993
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3000
Practice Address - Fax:816-855-1993
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO100416363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO427957204Medicaid
MO427957204Medicaid
269A899Medicare ID - Type Unspecified